Durakovic v. Building Service 32B-J Pension Fund

642 F. Supp. 2d 146, 2009 U.S. Dist. LEXIS 66523, 2009 WL 2383023
CourtDistrict Court, E.D. New York
DecidedJuly 31, 2009
DocketCase 05-CV-2328FBJO
StatusPublished
Cited by2 cases

This text of 642 F. Supp. 2d 146 (Durakovic v. Building Service 32B-J Pension Fund) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Durakovic v. Building Service 32B-J Pension Fund, 642 F. Supp. 2d 146, 2009 U.S. Dist. LEXIS 66523, 2009 WL 2383023 (E.D.N.Y. 2009).

Opinion

MEMORANDUM AND ORDER

BLOCK, Senior District Judge.

After being denied disability benefits by the defendants (“the Funds”), Bejaze Durakovic (“Durakovic”) brought suit under the Employee Retirement Income Security Act (“ERISA”) “to recover benefits due to [her] under the terms of [her] plan.... ” 29 U.S.C. § 1132(a)(1)(B). The parties have now made cross-motions for summary judgment. Durakovic has also moved in the alternative that, if she is not granted summary judgment, discovery be reopened. Because they are entitled to Judgment as a matter of law, the Funds’ motion is granted.

I

The following facts are taken from the administrative record and are not disputed:

Durakovic was born in 1946 in Yugoslavia. Although she has lived in the United States for decades, she does not speak, read, or write English fluently. She worked as a building cleaner and was a member of the Building Services Employees Union, Local 32, for thirty-two years. In 2003, she applied for a disability pension from the Funds, citing chronic back pain and neck pain deriving from injuries sustained in a car accident in 1999. Her last day of work was June 16, 2003. In 2004, the Social Security Administration determined that she was disabled.

The Funds, which perform pension plan administration for Durakovic’s union, were established pursuant to the Taft-Hartley Act, 29 U.S.C. § 186; they are administered by trustees who are representatives of the union and the management of participating employers; the trustees are not paid any compensation by the Funds for their service. The Pension Fund Plan pro *148 vides that a participant is “totally and permanently disabled if on the basis of medical evidence satisfactory to the Trustees, he is ... totally and permanently unable, as a result of bodily injury or disease, to engage in any further employment or gainful pursuit. The Trustees or their authorized delegate(s) shall determine whether the Participant is totally and permanently disabled ... and the entitlement to a Disability Pension hereunder, in their sole and absolute discretion.... ” Johnson Aff. Ex. D.

In support of her disability claim, Durakovic submitted medical records. These included a report dated October 14, 2003, labeled “Initial Consultation,” from Dr. Alan J. Dayan (“Dr. Dayan”), stating that Durakovic “has difficulty getting out of the chair, ascending and descending stairs, pain with any level of walking, and flexion of the knee. There is no significant difficulty putting on shoes or socks. There is no groin pain only minimal back pain and no buttock pain.” Johnson Aff. Ex N. Dr. Dayan concluded that she suffered from “[rjight knee internal derangement that has been long lasting in nature and continues to cause significant disability,” and recommended an “operative intervention.” Id. Durakovic had surgery on her right leg the following month, according to a record entitled “Ambulatory Surgery Post-Operative Instructions,” although the record does not reveal the precise nature of the surgery.

Durakovic also submitted records from Dr. Leonard A. Langman (“Dr. Lang-man”), who began treating her in April of 2003. These records show that she suffers from cervical and lumbar radiculopathy causing back pain and spasms, as well as mild carpal tunnel syndrome. They included, inter alia, a form entitled “Disability Certificate” 1 from Dr. Langman conclusorily stating that Durakovic “is totally disabled and unable to perform any work duties.” Johnson Aff. Ex. L.

The Funds sent Durakovic to Dr. Ludmilla Bronfin (“Dr. Bronfin”), a neurologist at New York University Medical Center, for an independent medical review. By letter to the Funds dated Feburary 2, 2004, Dr. Bronfin confirmed that Durakovic suffered from cervical radiculopathy, spasms and chronic pain in her back, knee dysfunction, and mild carpal tunnel syndrome; she also found meralgia paraesthetica. 2 She concluded, however, that Durakovic “should not be deemed totally disabled and could attempt to work in a sedentary capacity.” Johnson Aff. Ex. S. Attached to the letter was a report dated January 20, 2009, in which Dr. Bronfin stated that Durakovic could walk three or four blocks; that in an eight-hour work day she could sit for about eight hours, stand for about two hours (but could not walk for more than two hours); that she could lift ten pounds occasionally; and that she could twist and bend occasionally. Although the doctor noted that Durakovic could not work an eight-hour day on a sustained basis, she stated that Durakovic was “[n]ot totally disabled.” Id. The Funds denied Durakovic’s claim for disability pension benefits by letter dated March 5, 2004; the reason given was Dr. Bronfin’s conclusion “that [Durakovic was] presently able to work in *149 a sedentary capacity.” Johnson Aff. Ex. T.

Durakovie appealed. Appeals are decided by an Appeals Committee that does not include any “person who participated in the initial benefit denial” and gives no deference to the Funds’ initial decision. Johnson Aff. Ex D. (Plan Document at 26). Pursuant to the Funds’ procedure, Durakovic was examined by a second independent medical examiner, Dr. Ira Rashbaum (“Dr. Rashbaum”), a professor at the New York University School of Medicine’s Rusk Institute of Rehabilitation Medicine. As recounted in his report of September 20, 2004, Dr. Rashbaum found Durakovie to have “cervical strain, lumbar strain, cervical radiculopathy, cervical and lumbar herniated discs, cervical spinal stenosis, bilateral mild carpal tunnel syndrome and right knee sprain.” Johnson Aff. Ex. X. Dr. Rashbaum concluded: “From a physical medicine and rehabilitation standpoint, she is not totally disabled and could attempt to return to work in a sedentary capacity.” Id.

The Appeals Committee denied Durakovic’s appeal by letter dated December 13, 2004; the Committee stated that it had considered all of the medical records that Durakovie had submitted, listing the individual records reviewed, as well as the determination of disability by the Social Security Administration. It quoted from Dr. Rashbaum’s report that “from a physical medicine and rehabilitation standpoint, [Durakovie] is not totally disabled and could attempt to return to work in a sedentary capacity,” and from that part of Dr. Bronfin’s letter of February 2, 2004, similarly concluding that “the patient ... should not be deemed totally disabled and could attempt to work in a sedentary capacity.” Johnson Aff. Ex. CC. The Appeals Committee determined, based on this evidence, that Durakovie had not met the standard for disability, which requires that the claimant be “totally and permanently unable ... to engage in any further employment or gainful pursuit.” Id.

Durakovie initiated this litigation on May 13, 2005. The following year, the Second Circuit decided Demirovic v. Building Service 32 B-J Pension Fund,

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642 F. Supp. 2d 146, 2009 U.S. Dist. LEXIS 66523, 2009 WL 2383023, Counsel Stack Legal Research, https://law.counselstack.com/opinion/durakovic-v-building-service-32b-j-pension-fund-nyed-2009.